Following-up of patients with sigmoid rectal pouch for urinary division (report of 34 cases)
10.3760/cma.j.jssn.1673-4904.2016.09.013
- VernacularTitle:乙状结肠直肠膀胱术的随访观察（附34例报告）
- Author:
Jizhang XING
;
Quan HONG
;
Bin SUN
;
Gaobiao ZHOU
;
Jingmin YAN
;
Zhiyong YAO
;
Zehou WANG
;
Heqing GUO
- Publication Type:Journal Article
- Keywords:
Urinary bladder neoplasms;
Postoperative complications;
Sigmoid rectal pouch for urinary division
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(9):811-813
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the management and prevention of the complications of sigmoid rectal pouch for urinary division after radical cystectomy. Methods The clinical data of 34 patients who underwent a sigmoid rectal pouch procedure were analyzed retrospectively, and the clinical experience was summarized in the management and prevention of the complications of sigmoid rectal pouch for diversion. Results Twenty-six patients were followed up for 2 months to 11 years, and 10 patients lost in follow-up. The early follow-up results were as follows:3 patients had postoperative high fever with unilateral the kidney water, 1 patient had retropubic bleeding and need to stop bleeding, 3 patients suffered from wound split open and were performed relaxation suture, and 1 patient had sigmoid colon rectum bladder fistula 10d after operation. The late follow-up results were as follows:1 patient had urethral neoplasms recurrence, 5 patients developed distance metastases, and 5 patients developed nocturnal incontinence and worn safety pad. There were no hyperchloremic acidosis requiring clinical treatment, hydronephrosis as well as retrograde pelvis infection. Conclusions The operation of sigmoid rectal pouch for urinary division is fairly simple, with no serious complication. It is a better alternative diversion procedure, and should be accepted gradually by patients and surgeons.
